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MC-13-2810
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 204586 Permit Number: MC -12 -13 -2810 Scheduled Inspection Date: June 09, 2014 Inspector: Perez, JanPierre Owner: STOCKS, THOMAS Job Address: 26 NW 108 Street Miami Shores, FL 33168 -4311 Project <NONE> Contractor: RESIDENTIAL AIR INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: A/C Replacement Phone Number Parcel Number 1121360110110 Building Department Comments REPLACING EXISTING 3 TON UNIT Infractio Passed Comments INSPECTOR COMMENTS False 4t( Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CALL BEFORE GOING IF POSSIBLE 305 - 299 -6407 In 0 k Le)41)1-?.-r- 61e,Gcts,_ yLq,t4_, e-OwJJ�'� June 06, 2014 For Inspections please call: (305)762 -4949 Page 2 of 15 Miami_ Shores Village Building Department N.E.2nd Avenue, Miami Shores, Florida 33138 Tt4 : (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (3(L5) 762.4949 BUILDING PERMIT APPLICATION Pe nnit Type: MECHANICAL JOB ADDRESS: 21264aLl.-0.8_9&,SZ- Miami Shores Fono/Parceli: Is the Building Historically Dedgnated: Yes FBC 20 Permit No. Master Penult No. He /3 Courty: cede Zip: 6 OWNER: Name (FceSiuple Tileholder): 9,41,0 Address: City: NO FodZos e: TenontiLessee Name: Pia/net: Entail: CONTRACTOR: Company Narne Address: Ciy: Qualifier Name: • Alk State Certification or Regiskaticat _ ,It Contact Phcote#: DESIGNER: Architectiattiaeer: ompetency Value of Work for-this Permit': $ Type of W. UA4dress L3Alemtion Desert Oprenakion. Cf **********************************e **A Submittal Fee $_ JO - Permit Fee S (I i CCF S CCWCC S Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $, _ _ TrainiustEdncati on Fee $ Tectatoloff Fee $ Double Fee $ Structured Review $ TOTAL FEE NOW DUE $ -cq ACO D� THIS CERTIFICATE RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(lss) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CERTIFICATE OF LIABILITY INSURANCE DATE (MMJDDiYYYY) 03/22/2013 PRODUCER Suburban Associates, Inc 17071 W Dixie Highway North Miami Beach, FL 33160 INSURED Residential Air tic 1662 NE 205 Terrace Miami FL 33179 NAAME CT Greg Kaplan PHONE gym: 786 - 454 -8195 Ili —Ali o }: , N 954 -944 -1899 ADD os: greg @suburbanassociates.net INSURER(SI AFFORDING COIERAGE INSURER A: Endurance American Specialty INSURER B: Associated Industries Insurance Company INSURER C : NAIL M INSURER D INSURER E : INSURER F : • REVISION NUMBER: UL WCtf4WICCJI vs-am ,.rlvn,,.n •••• .rr.w• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MTSRR• TYPE OF INSURANCE �LboL INSD MD POUCY EFP POLICY NUMBER (MMtDDIYYYY1 POUCY EXPT rtuotvyYYYI LIMITS COMMERCIAL GENERAL LIABILITY Y CBP10000248000 03/23/13 ' 03/23(14 I EACHOCCUR NCE I $ 1,000,000 A X — j CLAIMS-MADE [% OCCUR PREMISE�(F�aox.rrenQo} $ 100,000 DIED EXP (Anyone person) $ 5,000 I PERSONAL 8ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L X PER: AGGREGATE LIMITAPPUES PRQ" POL.LMY . JECT OTHER: LOC PRODUCTS. CC PJOP AGO $ 1,000,000 $ i AUTOMOBILE UABIJY C a arc6d^J ert INGLE L]MIT $ BODILY INJIRY(Per perm) $ —1 ANY AUTO ALLOW ED - SCHEDULED NON- OVINED AUTOS BODILY NJURY(Per ecddeatt} $ PROPERTY DAMAGE 0° $ _.T HIRED AUTOS $ UMBRELLA UM EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I RETENTION$ WORKERS COMPENSATION 03/23/2013 03/23/2014 PER LI AND EMPLOYERS' LIABILITY Y© NIA AWC1021397 E.L. EACH ACCIDENT $ 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFIGERIVEM'BER EXCLUDED? EL. DISEASE -EA EMPLOY $ 100,0oo (Mandatory in MI Eyes, describe under DESCRIPTION OF OPERATIONS beiw� I E.L. DISEASE -POLICY LIMIT I S 500,000 A Business Personal Property Y CBP10000248000 03/23/201303/23 /2014 50,000 Limit of Insurance $1,000 AOP Deductible DESCRIPTION Mechanical OF OPERATIONS! LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If rums space Is required} Contractors CERTIFICATE HOLDER Village of Miami Shores Building Department 10050 NE 2nd Ave Miami Shores FL 33138 SHOULD ANY OF THE ABOVE THE EXPIRATION DATE ACCORDANCE WITH E Po RIBED POLICIES BE CANCELLED BEFORE EOF, NOTICE WILL BE DELIVERED IN PROVISIONS. ®198 2013 ACORD CORPORATION. All rights reserved. ACORD 25 (2013104) The ACORD name and logo are registered marks ACORD • 1 tki 000180 %6• arm— a , -tHl IS N6fAILL . 7146600 118$10,$NPAttAfttliqe-"*"' 1662 NE2O1tRR MIAMI FL 53179 • 2014 10 . • • . Mu st bb • idisoieved 0.01e00 of bumh•s• . * " tftust t*.s06de - dhottir tiA `.•'Aft:11Itle..16 • owNI#14 RESItaTIAL AIR INC '-•I•I'...*••• Wafieet(s) 10 t....,..;', .. Mk Lentil Rusin ,,,,,v41 „, Recall) ifotifirma :ix al Business Tax. The itiOalpt is not il license. pitifiltAir a cart i , ':itli' of the TIMM 16 7 ' ''' ' :1' i I ass. itoktut mum comply With any governmental or 11011#61#1.1nmenta Wray lav4; legultem Ate wh c k ' bulnesI1 s 4... '44, •:,a, , tilitil • The RECEllif . above • # diaplaye6••in all comift lel vehlo int Code Sec sort q / ig; ..• Faa ati .1111ormatloit; Wilt www.miamIdadO.OV/IdIdAId SEC. OPES OFUINeS� . , , . 196 S 'MCA!. CONTRACt.OR 1;!jeY1- CA • ; $75.00 :::0/16/20 3 • - ECHECX-13-008296 STATE OF FLORIDA DEPART BUSINESS AND PROF ULATION CAC035484 k:04/04/201 3 CERTIFIED VANNI, RICH RESIDENTIAL I. ' "1.■ • *•• "r1 t• l'61.CtRTIFIED• under the prevision!! of Ch.489.FS. . txrtrattan data Mid it, int 4 11304040001398 4 ••• „r, • 1 Residential Air Inc. 1662 NE 205 Terrace Miami Florida 33179 305- 652 -6040 * 954 -764 -0489 * Fax: 305- 651 -4992 State Licensed and Insured CACO35484 December 13, 2013 RE: 26 NW 108 Street Miami, Florida Residential Air will furnish and install the following: American Standard 3 Ton 16 SEER Super High Efficiency Split Cooling System. Condenser model 4A7A6036 will be installed and secured on a Dade County apprloved slab. Air handler model GAM5A030 will be reinstalled in the attic. Remove and dispose of existing equipment. Heater. Digital thermostat. Float switch. Connections to existing ductwork, electric, drains and refrigeration lines. Start up system and check for proper operations. Labor and materials for a complete and professional installation. One year warranty labor, ten year warranty on parts. Price does not include permit fee. Payment terms are 50% deposit and balance due upon installation. Total price $4843.00 - $585.00 FPL Rebate - $95.00 Service = $4163.00 Respectfully, Richard V App r ed y px )G( - THIS MUST BE ON JOB AT TIME OF IASPECTION AIR CONDITIONING REPLACEMENT DATA arrj ro,c. Builcing Department 1po5o ALE.2fid Ave.fiuu Amami shores. Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT NUMOER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change-oot must be on its own data sheet. Multiple units on single sheets are not acceiiptab 4 a Job Address (where the wends being City: raarni Shores Wage- County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.MA MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL suBmiTALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES 0 NO P•01-11 Sheet Attached: YES [J Contract Attached: YESCE1r-- UNIT8EINGREPLAOED DAT , Nt i . UNIT i ,.. A. A e‘. 4 ,2;t. iv? 14.,T, ):zt--4-: AvatipowA • _ 11111.1111.11111.1111111111111111111111.11' — - 11111.11111111111.1111111111111111 11111111111111111111111111011. IESTIIIMIPJMIIIIIIIIIIIIIIIIIIIIIIII MIZSgrtriaillIMMINMINEENIMINIMENIENINSTMEMEINIIIII MU Ci.1 - .- Adt.i or PKG i 'fir MODEL 141S'Aragil,...._' LIMO - (XAD. UNIT MODEL KV4 HEAT _ Aiwa' t allikilli RO -Ai ORMEIMME PKG - MINEIMIlr PKG LiNt 1 FirragniallaniallillinelPISSIMMAir,= YS 1-ZEPLACINK...; DUCTS r-lEPLACING THERMOSTAT V Y S NO INIMI11.11 4%1EW 4-00NCRETE SLAB lt,10 NEkiv ROOF STAM) YES .- - . , NEIN RE. TURN PLENUM :;OX YES . --V-- 1. Minimum Circuit Arnpacity (Wire Size 2. 3. 'Voltage of Circu4 (2 80Y 4, Size Disconnecting Means Contractor's Company Name: ?State Certfcate or Registr /-1 ------ 30 C 0 A-0 I 1 1 ie /Maximum Overt urrent Piptection ifuseiBreaker Size: A /4 9. s- 6 ( ) : 3 0 signature /-/ 1 uslifier's aktrisksta anlvt e c Competency N. t.* .g alS2-6 a d uate: DesignStar Load Calculation Results ale intended for with Rhearn heating and cooling systems Ceiling height Floor U-value R-value Window Li-value Moisture grains 58 etti I Heating infiltration (ACH) oximipe, Summer ventilation 0.8 0 Cooling Loads 32,771 BTUthr Ad e a u 20000 15000 10000 AED Graph 5900 0 Sam gam Warn 11am 12pm 1pm 2pm 3pm 4prrt 5rprn- — Hourly Loads — Average System equipment selection will be made using the following derived values. Glass (E) 124 sq. ft ,eet.".trtri 7prry 0pm Summer Outdoor Summer Indoor 75°F Heatin Heating Loads 17,X9CY BTU/hr 1.01WW. 10,4410 , feifi ,MignfitefietaINV Desi Con Daily range Moisture difference L 58 Design temperature difference °F) 20 1 This combination qualifies for a Federal Energy Efficiency Tax Credit when placed in service between Feb 17, 2009 and Dec 31, 2013. Certificate of Product Ratings AHRI Certified Reference Number: 5874024 Date: 11/13/2013 Product: Split System: Air - Cooled Condensing Unit, Coll with Blower Outdoor Unit Model Number 4A7A6036H1 Indoor Unit Model Number: GAM5BOB30M21 Manufacturer AMERICAN STANDARD, INC. Trade/Brand name: GOLD XI Manufacturer responsible for the rating of this system combination is AMERICAN STANDARD, INC. Rated as follows in accordance with AHRI Standard 210/240 -2008 for Unitary Air - Conditioning and Air- Source Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, Independent, third party testing: Cooling Capacity (Btuh): 34800 EER Rating (Cooling): 13.00 SEER Rating (Cooling): 16.00 IEER Rating (Cooling): *Ratings followed by an asterisk (•) indicate a voluntary rerate of previously published data unless accompanied with a MS, which Indicates an Involuntary rerete. DISCLAIMER A}IRI does not endorse the product(s) listed on this Cerdftcate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Cerdgeate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.aividirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRL This Certificate shall only be used for Individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's Individual, personal and confidential reference. CERTIFICATE VERIFICATION # rectoryorg, ��► The Information for the malel cited on this can be verified at www.ahrtdi Air-Conditioning, Heating, click on "Verify Certificate" link and enter the Attic Certified Reference Number and the date on En A and Refrigeration Institute which the certificate was issued, which Is listed above, and the Certificate No., which is listed below. 02013 Air - Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 130288289247529800